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General NPI Number Information
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NPI Number | 1215893615
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Entity Type | Individual
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Provider Name | KAYLEY DIANE DRESBACK OTR/L, MOT
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Gender | Female
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 789 HOLTON DR
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City | LE MARS
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State | IA
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Zip | 51031-3757
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Country | US
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Telephone | 712-546-1718
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Fax |
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Provider Business Mailing Address
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Address Line | 108 N WALNUT AVE
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City | WOODWARD
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State | IA
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Zip | 50276-2020
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Country | US
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Telephone | 660-651-9655
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 136252
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License Number State | IA
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